A cluster randomized trial of community mobilization to reduce methamphetamine use and HIV risk among youth in Thailand: Design, implementation and results

Galai, Noya; Sirirojn, Bangorn; Aramrattana, Apinun; Srichan, Kamolrawee; Thomson, Nicholas; Golozar, Asieh; Flores, José M.; Willard, Nancy; Ellen, Jonathan M.; Sherman, Susan G.; Celentano, David D.

doi:10.1016/j.socscimed.2018.06.013

Cited by 9 publications

(33 citation statements)

References 30 publications

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“…A cluster randomized trial study was conducted in Thailand and found that youths who were not fully attending school were at risk of initiation of methamphetamine use [25]. A study in the United States also reported that children who were school dropouts were more likely to initiate amphetamine use than those who were in school [26].…”

Section: Discussionmentioning

confidence: 99%

Perceived factors influencing the initiation of methamphetamine use among Akha and Lahu youths: a qualitative approach

et al. 2019

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Background Methamphetamine use not only impacts health and the economy but also causes social impairment, particularly among the poorly educated and underprivileged young populations among the hill tribes in northern Thailand. Youths are the most vulnerable population for methamphetamine use due to various factors, including parenting styles, childhood exposure, and location of the village. This qualitative approach aimed to investigate the perceived factors influencing the initiation of methamphetamine use among the Akha and Lahu youths in northern Thailand. Methods A qualitative approach was used to elicit the information from key informants of Akha and Lahu youths who lived in villages in Chiang Rai province. A sixteen-question guideline was developed and examined for quality by three experts in the field and piloted before use. In-depth interviews were conducted among 19 Akha and 22 Lahu youths, serving as key informants from four villages, in a private and confidential room in their villages between June and August 2018. Each interview lasted approximately an hour. A thematic analysis was performed to evaluate the information. Results In total, 41 participants (19 Akha and 22 Lahu) from 4 villages participated in the study. According to the context and content obtained, four major perceived factors (low self-esteem, family member use, positive expectation regarding methamphetamine use, and availability), and five supportive factors (social norm perception, school dropout, family level problems, poor economic, and no Thai citizenship) were found to contribute to the initiation of methamphetamine use among the Akha and Lahu youths in northern Thailand. Conclusions Akha and Lahu youths are initiating methamphetamine use due to several factors, including living in a poor family and in a remote area. All relevant government agencies with a mission to prevent and protect against methamphetamine use should consider the perceived factors influencing the initiation of methamphetamine use in these populations in order to develop a powerful program to stop methamphetamine use. Electronic supplementary material The online version of this article (10.1186/s12889-019-7226-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Perceived factors influencing the initiation of methamphetamine use among Akha and Lahu youths: a qualitative approach

et al. 2019

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“…High retention rates were achieved by two studies, reported as 98% [ 52 ] and 96% [ 49 ], reducing the selection bias in the analysis. Moderate retention rates were achieved at 79% [ 48 ] and 68% was reported by two studies [ 50 , 51 ].The Thai-based community cluster RCT study used a second random sample for the follow-up survey from the intervention and control communities, and therefore retention rates were not applicable [ 53 ]. Loss to follow-up was not appropriate to examine for the qualitative studies [ 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies with less than a 100% consent rate have the potential for selection bias of participants. The studies’ response rates, defined as eligible participants consented to participate, were 85% [ 48 ], 64% [ 49 ], 47% [ 50 ], 35% [ 51 ], and 24% [ 52 ]. The response rates were not provided by three studies reducing ability to assess selection bias [ 53 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…The response rates were not provided by three studies reducing ability to assess selection bias [ 53 , 54 , 55 ]. As seen in Table 2 , a randomized control trial design was used by four studies increasing methodological rigor by minimising the risk of allocation bias and providing baseline differences in comparison groups [ 48 , 50 , 52 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

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Lifestyle Interventions through Participatory Research: A Mixed-Methods Systematic Review of Alcohol and Other Breast Cancer Behavioural Risk Factors

Thomas

Miller

Ward

2022

IJERPH

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Breast cancer is one of the most frequently diagnosed cancers in women globally. Sex and advancing age represent the dominant risk factors, with strong evidence of alcohol as a modifiable risk factor. The carcinogenic nature of alcohol has been known for over twenty years; however, this has failed to translate into significant behavioural, practice, or policy change. As a result, women have not benefitted from this research and, by extension, have been exposed to unnecessary breast cancer risk. Participatory research presents a solution to research translation in public health through the collaboration of impacted populations with academics in research. This systematic review examines peer-reviewed research studies where participants were involved in the research process and the outcomes related to breast cancer prevention (either alcohol or broader lifestyle modification). Seven of the eight studies reported positive effects, and the collaboration between academic researchers and impacted populations may have supported positive outcomes. Women were receptive and responsive to participatory approaches, and their participation is important to address socially entrenched behaviours such as alcohol consumption. Participatory research presents opportunities for future interventions to improve (or address) modifiable risk factors for breast cancer.

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“…There seems to be a growing number of efforts to implement community-based SUD services in LMICs that are responsive to context-specific needs, possibilities, and barriers [ 35 , 49 – 51 ]. Although this topic has not has not yet been systematically investigated, previous individual studies from LMICs have demonstrated that various resource, sociocultural and/or political factors may influence the development, implementation and/or outcomes of community-based SUD interventions [ 35 , 49 , 50 , 52 ]. Therefore, an initial attempt to systematically identify and describe the relevant contextual factors that may affect community-based SUD interventions in LMICs seems warranted.…”

Section: Introductionmentioning

confidence: 99%

Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

Suasnabar

Walters

2020

Int J Ment Health Syst

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Background Mental health and substance use disorders (SUDs) are the world’s leading cause of years lived with disability; in low-and-middle income countries (LIMCs), the treatment gap for SUDs is at least 75%. LMICs face significant structural, resource, political, and sociocultural barriers to scale-up SUD services in community settings. Aim This article aims to identify and describe the different types and characteristics of psychosocial community-based SUD interventions in LMICs, and describe what context-specific factors (policy, resource, sociocultural) may influence such interventions in their design, implementation, and/or outcomes. Methods A narrative literature review was conducted to identify and discuss community-based SUD intervention studies from LMICs. Articles were identified via a search for abstracts on the MEDLINE, Academic Search Complete, and PsycINFO databases. A preliminary synthesis of findings was developed, which included a description of the study characteristics (such as setting, intervention, population, target SUD, etc.); thereafter, a thematic analysis was conducted to describe the themes related to the aims of this review. Results Fifteen intervention studies were included out of 908 abstracts screened. The characteristics of the included interventions varied considerably. Most of the psychosocial interventions were brief interventions. Approximately two thirds of the interventions were delivered by trained lay healthcare workers. Nearly half of the interventions targeted SUDs in addition to other health priorities (HIV, tuberculosis, intimate partner violence). All of the interventions were implemented in middle income countries (i.e. none in low-income countries). The political, resource, and/or sociocultural factors that influenced the interventions are discussed, although findings were significantly limited across studies. Conclusion Despite this review’s limitations, its findings present relevant considerations for future SUD intervention developers, researchers, and decision-makers with regards to planning, implementing and adapting community-based SUD interventions.

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A cluster randomized trial of community mobilization to reduce methamphetamine use and HIV risk among youth in Thailand: Design, implementation and results

Cited by 9 publications

References 30 publications

Perceived factors influencing the initiation of methamphetamine use among Akha and Lahu youths: a qualitative approach

Perceived factors influencing the initiation of methamphetamine use among Akha and Lahu youths: a qualitative approach

Lifestyle Interventions through Participatory Research: A Mixed-Methods Systematic Review of Alcohol and Other Breast Cancer Behavioural Risk Factors

Community-based psychosocial substance use disorder interventions in low-and-middle-income countries: a narrative literature review

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